Cases in Immediate DIEP Flap

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30s female with strong family history of breast cancer

Age: 36 This is a 36-year-old woman with a strong family history of breast cancer. She underwent bilateral prophylactic nipple-sparing mastectomies with immediate DIEP flap reconstruction. The patient desired more volume and projection, so three months later she completed her reconstruction with a revision surgery in which she had fat grafting and bilateral implants placed …

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50s female with a history of right invasive ductal carcinoma and implant reconstruction

Age: 58 This is a 58-year-old woman who presented with a history of right breast invasive ductal carcinoma. She’d had a right breast mastectomy and implant reconstruction 35 years prior and three implant exchanges in the intervening years. She was experiencing asymmetry due to deflation and contracture of her implant and chose to convert to …

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40s female with genetic risk for breast cancer

Age: 46 This is a 46-year-old woman found to be BRCA2+, increasing her risk for breast cancer. She underwent a bilateral prophylactic nipple-sparing mastectomy with immediate DIEP flap breast reconstruction. She completed her reconstruction with one revision surgery with fat grafting.

30s female with DCIS (ductal carcinoma in situ)

Age: 30s She underwent a nipple-sparing bilateral mastectomy and immediate bilateral DIEP flap reconstruction. She had one revision surgery as an outpatient procedure with fat grafting to the breasts.

30s female with breast cancer

Age: 30s She underwent a bilateral mastectomy with immediate DIEP flap reconstruction. She then did one reconstruction revision surgery with fat grafting to the breasts and nipple reconstruction, followed by in-office nipple-areolar tattooing.

30s female with invasive breast cancer

Age: 30s She underwent a bilateral mastectomy with immediate DIEP flap reconstruction. She did one outpatient reconstruction revision surgery with fat grafting to the breasts. The patient chose not to undergo nipple reconstruction. She performed creative tattooing.

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